| NPI | 1740239169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A001743) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR A01743) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2020-05-01 |